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Changes for page 4. Problem Scenario

Last modified by Lucia Serrano Ruber on 2025/03/27 15:58
From version 2.4
edited by Palina Yarmolenka
on 2025/02/20 14:36
Change comment: Added comment
To version 5.2
edited by Lucia Serrano Ruber
on 2025/02/24 12:40
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1 -xwiki:XWiki.pyarmolenka
1 +xwiki:XWiki.lserranoruber
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1 +The amount of patients with dementia is increasing every year, and care facilities have limited space and resources to provide the necessary help for persons with dementia (PwDs) who need it. For our specific case we are taking a hypothetical Dutch care facility as our setting. This care facility is suffering from staff shortages, they have a limited amount of nurses who themselves have a limited amount of time, energy, and patience when caring for their patients. Many nurses note that due to the staff shortages, they have to work longer and harder hours leading to them being unable to fully physically and mentally recover after a work day. This lowers their overall energy and patience, which in turn decreases the quality of care for the patients as the nurses can become more easily frustrated, careless, and/or forgetful.
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3 +PwDs often suffer from loneliness and feeling like a burden to their family before moving to a care home. They would like to have someone to talk to who is patient and understanding. In a care home, some of the nurses are there to keep the PwDs company throughout the day. However, the nurses have many other responsibilities and patients, so they are unable to spend as much time with the PwD as the PwD would like. Additionally, with the increased frustrations of the nurses, the time they spend with a PwD is of lower quality and might lead to higher frustrations, instead of calm and reassuring interactions, possibly leaving a PwD feeling like a burden, sad, and lonely. This is not an improvement from their feelings before being in a care home.
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5 +Let's take an example PwD in the care home: Margaret (see [[1.a.3: Personas>>doc:Main.sdf.Personas.WebHome]]). When she wakes up, she is unsure of the day's schedule making her feel disoriented and unsure of what to do. She feels lonely and would like to see some of the other patients to get some social interaction, but she is also anxious about meeting (new) people because she doesn't want to forget someone's name which she has noticed happening more often recently. She calls her nurse Pedro and he comes to pick up Margaret and takes her to the common room where he introduces her to another patient and he leaves them there to hang out until the next appointment while he goes to take care of some other patients. This makes Margaret feel better. When there is a group activity, sometimes there is music playing which is enjoyable, but makes it harder to hear instructions which frustrates Margaret. She feels shy to ask for help or to repeat instructions so she is sometimes left confused. It would be nice if there were someone keeping an eye out for her (and other's feeling the same) so they can take the initiative of helping instead of having to ask for help, but due to staff shortages there is only one nurse available and they are leading the activity, so they can't keep track of every individual PwD. At the end of the day she returns to her room and feels satisfied with the day's activities, but wishes that she could process or record her thoughts and memories in some way as she is afraid of forgetting this nice day. Sometimes Pedro has time to sit and talk with her about the day before she goes to sleep which helps her feel calm and at peace.
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1 1  [[Feiten en cijfers over Verzorgingshuis>>url:https://www.zorgkaartnederland.nl/feiten-en-cijfers?subject=verzorgingshuis&page=pagina1]]
XWiki.XWikiComments[2]
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1 +xwiki:XWiki.mmatsson
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1 +100% my own work:
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3 +==== **Key Pain Points Before Service:** ====
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5 +* She wakes up feeling disoriented and unsure of the day’s schedule.
6 +* She forgets when group activities are offered or doesn't know if she is "allowed" to join.
7 +* She feels nervous about new faces and is afraid of being embarrassed if she forgets names.
8 +* She misses physical activity but is worried about falling or being left out due to her slower pace
9 +
10 +==== **Key Pain Points During Service:** ====
11 +
12 +* Upon arriving, Anna feels a bit overwhelmed but is reassured when a friendly staff member introduces her to another resident, Mary, who becomes her partner.
13 +* The exercise is adapted to different abilities, and Anna is encouraged to move at her own pace. However, she sometimes loses track of the steps and feels embarrassed.
14 +* There is music playing, which Anna enjoys, but she struggles to hear instructions over it.
15 +* She feels supported but still hesitates to speak up when confused.
16 +
17 +==== **Key Pain Points After Service:** ====
18 +
19 +* She returns to her room feeling good, but by evening, she forgets most of what happened.
20 +* She isn’t sure if she’ll be invited back or if she is expected to sign up.
21 +* She wants to see Mary again but forgets her name by the next day and feels embarrassed asking.
22 +* Without reminders or follow-up, Anna gradually retreats into isolation again.
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1 +2025-02-20 14:45:26.297